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NCT Number: NCT05669378

A Good Start Matters Intervention Study

The BC government and partners developed Active Play Standards and a capacity-building strategy to help childcare centers implement the Standards. We have developed an intervention to supplement the governmental capacity-building strategies. The intervention is comprised of implementation support strategies targeted at childcare providers in BC that will aid with the sustainment of Active Play best practices at their facilities. The impact of the intervention will be assessed by measuring its impact on a) change in practices with respect to Active Play; and b) improving child-level outcomes (children's physical activity, sedentary behavior, and motor skill competencies). The findings will inform future policies and enhance our understanding of how policy action supported by communication, capacity-building, and sustainment strategies influence the environment of childcare centres.

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Key information

Age range

30 month and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

BC Children's Hospital Research Institute

Vancouver, British Columbia, V6H 3V4, Canada

Location status: Recruiting

Location contact

Olivia De-Jongh González, PhD

CONTACT

[email protected]

604-875-2000 ext. 6393

About this study

The Director of Licensing Standard of Practice - Active Play (Active Play Standard), mandates the provision of Active Play opportunities (amount of time spent outdoor, amount of physical activity, provision of fundamental skills) in licensed childcare centers in British Columbia, Canada. To support the implementation of this standard, the province released a capacity-building intervention, called Appetite to Play (ATP). Appetite to Play provides training and support to childcare providers in enhancing physical activity, physical literacy, and healthy eating environments in their facilities. To encourage the sustained use of ATP and aid childcare facilities in maintaining their adherence to the Active Play Standard, we have developed an intervention called, Appetite to Play +, targeted at facility managers and staff. The intervention builds upon ATP and is considered advanced training for childhood educators. The intervention involves the implementation of support strategies focused on integrating Active Play and fundamental movement skills into scheduling, curriculum planning, and creating a supportive environment for Active Play and healthy eating in childcare facilities.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

for childcare center:

  • Located in the Metro Vancouver region
  • Provides care to at least 10 children older than 2 1/2 years and younger than 6 years
  • Childcare program that is longer than 4 hours each day

Inclusion for child outcomes / measurement

  • children must attend a childcare that has volunteered to participate in the study
  • Child must be older than 2 1/2 years and younger than 6 years of age

Inclusion criteria

for managers and staff childcare centers:

  • Managers at licensed BC childcare facilities, working full time (at least 3 full days per week) in a facility for children aged 2½ to 6 years, defined as an Executive Director, supervisor, or program manager. Aged 19 years or older.

OR

  • Childcare staff at licensed BC childcare facilities, working full time (at least 3 full days per week), defined as Early Childhood Educator, instructor, or staff that cares for 2½ to 6-year-old children. Aged 19 years or older.

Exclusion criteria

for childcare center:

  • Located outside Metro Vancouver region
  • Facilities caring only for children under 2 1/2 years old or older than 6 years
  • Family or in-home multi-age childcare

Exclusion criteria

for managers and staff childcare centers:

  • Do not care or supervise 2 ½ to 6 years old children
  • Work less than 3 full days per week
  • Administrative assistant/office manager
  • Younger than 19 years of age

Treatment and study plan

Appetite to Play +

Behavioral

In 2017 the province of BC enacted a provincial standard for physical activity, formally titled the Director of Licensing Standard of Practice - Active Play (Active Play Standards) that licensed childcare centers are required to adhere to. Along with this, a provincial capacity-building intervention (Appetite to Play) was released to provide training and education to early years providers working in the province and support the implementation of the Active Play Standards. The intervention, Appetite to Play +, will provide advanced training to early year educators on the Appetite to Play activities and resources. The intervention will include workshops and training on physical literacy, fundamental movement skills, and creating a supportive environment to sustain Active Play practices. As part of the intervention, managers will also be provided with resources to aid them with the integration of Active Play into their curriculums and schedules.

Primary outcomes

  1. Change in practices related to active play (AP) and fundamental movement skills (FMS)

    Time frame: Two time points -baseline and 3-month post intervention

    Change in AP and FMS practices will examine child engagement in AP and FMS activities at the facility (e.g., time spent in AP, FMS, and outdoor activities, adherence to best practices). Assessment through observed practices using the Environment and Policy Assessment and Observation (EPAO) tool, and through self-reported practices based on questions developed by the Early Years Survey and the EPAO as a Self-Report instrument (EPAO-SR).

  2. Fundamental movement skills (child outcomes)

    Time frame: Two time points -baseline and 3-month post intervention

    Children's FMS will be assessed with the validated Test of Gross Motor Development (TGMD-3 a norm-referenced tool for assessing 13 gross motor skills). The measure takes 15-20 min per child to administer and provides standardized and percentile composite scores for the locomotor, object control, and gross motor quotient (GMQ) composites.

Secondary outcomes

  1. Characteristics of childcare settings

    Time frame: Three time points -baseline and 3-month, and 6-month post intervention

    Assessment of organizational processes, structural support, and processing supporting implementation of Active Play policies as measured by the Early Years Survey and the Environment and Policy Assessment and Observation as a Self-Report tool (EPAO-SR), including actions to prioritize AP and changes in the environment to support AP and FMS.

  2. Characteristics of providers

    Time frame: Three time points -baseline and 3-month, and 6-month post intervention

    Assessment of staff and manager's knowledge and skills, self-efficacy, and commitment to changes facility practices to implement Active Play standards, as measured by the Early Years Survey and the EPAO-SR.

Study contacts

Contact information is provided by the study sponsor or research team.

Louise C Masse, PhD

CONTACT

[email protected]

604-875-2000 ext. 5563

Patti-Jean Naylor, PhD

CONTACT

[email protected]

250-721-7844

Sponsors and collaborators

Lead sponsor

University of British Columbia

Other

Collaborators

  • Canadian Institutes of Health Research (CIHR)

Registry information

Official study title

A Good Start Matters: Do Supportive Childcare Centre Environments, Policies and Practices Enhance Physical Activity?

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
Dec 30, 2022
Registry last updated
Apr 16, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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